Intermittent Fasting: Benefits, Myths, and What Science Says

Start today and discover how intermittent fasting can transform your health and well-being. Concentrate on nutrient-dense foods such as veggies, lean proteins, and healthy fats during your eating window. You eat either extremely few or no calories on days when you fast. It will be important for future trials to measure how appetite and body weight change in the days and weeks following the fast. Preliminary research presented at an American Heart Association conference in 2024 raised some questions about the long-term effects. There’s no shortage of diets that promise to do that, like the Mediterranean diet or DASH (Dietary Approaches to Stop Hypertension). In addition, research in shift and night workers has demonstrated alterations in appetite-regulating hormones (leptin, ghrelin, xenin) that may lead to increases in total energy intake.58–60 Finally, it is notable that a recent study has linked jet lag in mice and humans to abberrant microbiota diurnal fluctuations and dysbiosis that leads to glucose intolerance and obesity.56 There have been a few animal studies that have shown IF may extend life span, possibly because fasting seems to build resistance to age-related diseases. Lowden suspects that changes to metabolic parameters, such as lower levels of triglycerides and a decrease in blood sugar levels, are the result of losing weight and would be achieved no matter how the weight was lost, whether through IF or a low-carb diet, for example. The Nutrients study noted that while there aren’t prospective human studies demonstrating this effect, observational studies have shown that IF may deliver both cardiovascular and metabolic benefits. Fasting insulin and insulin resistance: effects of fasting Growing evidence in animals and humans shows that this approach leads to significant weight loss. There are potential health benefits, bu... Time-restricted eating for the prevention and management of metabolic diseases. Some research suggests that fasting may potentially reduce hunger and increase feelings of fullness over time.” “The adjustment period typically lasts for a few days and may affect hormone levels involved in hunger and satiety. Any time you’re in a calorie deficit, you’re more likely to lose weight. But today, the main focus is on weight loss. Previous generations adopted this eating pattern to improve their spiritual, mental, and physical health. Whether fasting can help rid the body of waste buildup is a matter of controversy. Ketosis occurs when the body runs out of carbohydrates to burn for energy, so it burns fat. Along with improving your overall diet, fasting is one solution to that buildup of AGE, according to advocates like Fuhrman. "Americans eat 51% of their diet from processed foods and foods low in phytochemicals and antioxidants," he says. "There is no scientific evidence it will detox the body. The issue of fasting to cleanse the body has no biological basis because the body is real good at that by itself," says Fernstrom. For most people, intermittent fasting is considered safe. Intermittent fasting may have some benefits that make it easier to follow than a traditional weight-management program. Many people find time-restricted eating the easiest to follow. Intermittent fasting can help people lose weight. It’s not about starving yourself but rather giving your body a break from constant digestion to tap into stored energy, primarily fat. Whether you’re a beginner or a seasoned faster, this post will equip you with the knowledge to make fasting work for you while prioritizing your health and well-being. Try and eat similar meals to other times of the year, and avoid feasting on high carbohydrate foods. This is known as intermittent fasting. Fasting is when someone chooses to refrain from eating for a certain period of time.

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Our findings show that water-only or Buchinger fasting for 5–20 days produces potent increases in circulating ketones and mild to moderate weight loss (2–10% of baseline) (Figure 2). Increased hunger levels are also frequently reported during prolonged fasting.18,23 In the study by Jiang et al18 hunger levels increased approximately 4-fold after water fasting for 5 days. No adverse changes in urine creatinine, protein, or urea were observed, indicating that renal function was preserved.17,18,21 Fat-soluble and water-soluble vitamin levels remained unchanged.17 However, circulating levels of sodium and chloride decreased to just below the acceptable limit after 8–10 days of water fasting.17,21 Thus, individuals should consider taking sodium chloride supplements to prevent electrolyte loss during water fasting. Diabetic ketoacidosis is a severe and life-threatening disease caused by a deficiency of insulin.51 When insulin levels are low, the body starts to convert free fatty acids into ketone bodies for energy.52 The initial formation of ketones acts as a protective mechanism. You don’t need to do 3-day water fasts to see results. It's a simple biological mechanism that modern eating habits have disrupted. But unlike the gimmicks, fasting delivered something real. There are several groups who should not intermittent fast, according to the studies. Intermittent fasting is a pattern of eating based on time limits. For example, someone working a standard daytime schedule might naturally delay breakfast until noon, creating a de facto 16/8 fast without lifestyle disruption. Intermittent fasting (IF) refers to structured periods of voluntary abstinence from food, followed by defined eating windows. The key isn’t which fasting schedule you pick—it’s consistency and food quality during your eating window. If you choose to fast, you can do it for a day or for a week. It is important to remember that fasting is not for everyone and it is not a detox for everyone. Fasting is a great way to lose weight. GuideKeep your eye on the clock, only eating during a planned window each day. Elderly people, on the other hand, have no specific contraindication to fasting as long as they don’t have an underlying illness that may preclude them from doing so. In fact, scientific studies show the opposite — there is no need to eat breakfast. By following these fasting tips, you will set yourself up for success and be much more likely to incorporate intermittent fasting as part of your daily routine. You may feel hungrier and be more likely to overeat. To save energy, your metabolism slows down. If your goal is to detox your body, you should know that your body naturally detoxes itself. Others fast to try to detox their bodies or for religious reasons. Maintenance of a low-calorie intake should be continued throughout an individual’s lifespan. Starting intermittent fasting can feel overwhelming, but a few strategies can make the transition smoother. Plan light activities or workouts during your eating windows to maintain energy. While intermittent fasting is effective, it does come with some challenges. Maintaining a healthy eating pattern may be made simpler by this simplicity. Giving your body more extended periods without food allows it to reset and focus on burning fat instead of digesting meals. It was shown that 3–4 months after the fast was completed, all metabolic benefits were no longer observed, even when weight loss was maintained. Research indicates that intermittent fasting may cause less muscle loss compared to standard calorie restriction. For individuals with underlying medical conditions, it is crucial to seek guidance from a healthcare professional before embarking on an intermittent fasting regimen. If fertility concerns or pregnancy are factors in your life, it may be wise to postpone intermittent fasting for the time being. After all, the diet doesn’t restrict high-calorie foods or total calories — it only restricts when you can eat. That’s probably welcome news if you’re hoping to fast for weight loss, but the fact that those studies were short term means it’s unclear if IF is sustainable and can help you keep off extra pounds in the long run. Why would someone opt for this way of eating versus a standard diet, such as going low carb or low fat? This is the sixth video in a 14-part series on fasting for weight loss. So, challenging people’s delusions about their exceptionality to the laws of physics with a period of total fasting may seem barbaric, but in reality, this method of weight reduction is remarkably well tolerated by obese patients. In an 18 h fasting among healthy women, they found that fasting can lead to increased irritability and increase positive affective experiences such as a sense of achievement, reward, pride, and control . In contrast, some studies found that short-term fasting can cause mood enhancement, which is reflected by increased positive mood and vitality and decreased negative mood 28–33. In the fed state, the blood ketone body level is low, while in the fasting state, it increases within 8 to 12 hours in humans, reaching a level of 2 to 5 mM by 24 hours 23, 24. If you feel dizzy or overly hungry, it may be best to adjust your fasting schedule or consult a healthcare professional. Focus on whole foods like fruits, vegetables, lean proteins, and healthy fats. Choosing the right fasting schedule depends on your lifestyle and how your body responds. You fast for 12 hours each day and eat during the other 12 hours. Many people find it easy to follow, and it can lead to benefits like improved focus and energy. Again, if you’re following time-restricted eating, know that you don’t have to keep the same eating window every day. This will ensure that you don’t get dehydrated, which only exacerbates side effects like headache — and it’s one of the reasons you will likely urinate more frequently during intermittent fasting. Similarly, if you have an important social function (a birthday party or another celebration), it can be really tough to fast on days when special foods are a big component. You choose a window of time during which you can eat (feast); the rest of the day you don’t eat (fast). “Intermittent fasting is an umbrella term for three different types of diets,” says Krista Varady, PhD, a professor of nutrition at the University of Illinois in Chicago and a researcher on intermittent fasting. You should not try IF if you have type 1 diabetes and are taking insulin. If you do decide to try IF, you should monitor how it makes you feel and affects your relationship with food. If you have an inconsistent schedule or you don’t have a regular workout time, you might want to reconsider IF. Research on the Warrior Diet is limited, but it is generally considered unhealthy by experts. You would do this one or two times per week—but not in a row.
  • Gottfried proposes that intermittent fasting may help stabilize blood sugar levels in people with diabetes because it “resets insulin,” though more research is needed.
  • Mattson thinks that intermittent fasting acts in part as a form of mild stress that continually revs up cellular defenses against molecular damage.
  • Researchers have studied IF for decades, testing animals and humans to gather evidence of health benefits.
  • "Fasts are sometimes accompanied with enemas to cleanse your intestinal tract, and that can be very dangerous," says Fernstrom.
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  • The DASH diet (for Dietary Approaches to Stop Hypertension) has proven to reduce BP and CV risk factors; unfortunately, there have been few observational data linking a DASH diet to improvements in MetS .
  • Those who are pregnant or breastfeeding, teenagers, those with high-calorie needs, such as athletes or highly active people, and anyone with diabetes should avoid it.
However, in our modern environment with artificial lights, 24-hour convenience stores, and DoorDash, we are persistently primed to eat. This often aligns with the time when the sun has set, our metabolism slows, and we sleep. We transition from a fed to an early fasted state several hours — five to six, on average — after our last meal.
  • One of these is intermittent fasting, which consists of alternating periods of eating with periods of fasting ranging from hours to days.
  • Bi-monthly application of this dietary approach reduced visceral fat, cancer incidence and skin lesions, rejuvenated the immune system, and retarded bone mineral density loss; when applied later in life, there was improved cognitive performance .
  • After re-examination, 304 duplicated studies were deleted.
  • While many find intermittent fasting safe and manageable, it is essential to approach it with caution, especially for those with specific health conditions or dietary needs.
  • You may also notice brain fog throughout the day if you’re not eating.
  • Plus, we've spoken to experts in cardiometabolic health and oncology about the best ways to lose weight sustainably and safely through intermittent fasting.
Currently, the research shows that intermittent fasting can help with weight loss, to a similar degree as conventional calorie-restricted diets. There is some evidence that when people follow intermittent fasting, particularly time-restricted eating, they eat less, even if they aren’t instructed to do so. The majority of the studies — nine of the 11 — found no significant difference in weight loss between intermittent fasting and calorie restriction. While some of the benefits of intermittent fasting are flow-on effects from any weight loss, there could be some extra beneficial changes happening. That means intermittent fasting doesn’t appear to be any better or worse than any other type of energy restrictive diet if weight loss is the goal. Overall, although these changes were not related to differences in muscle strength , prudence should be exerted as in any manipulation of food intake in men or postmenopausal women with sarcopenia or osteoporosis. Concerning obese subjects, the TEMPO (Type of Energy Manipulation for Promoting Optimum Metabolic Health and Body Composition in Obesity) trial compared the long-term impact of a 25–35% CR during 12 months vs a 65–75% CR during 4 months followed by 8 months of a more moderate energy restriction. In obese women on a VLCD (800 kcal/day) for 4 weeks major consistent changes in dominant faecal bacterial communities were reported . An improved fatty liver index (FLI), a surrogate marker of non-alcoholic fatty liver disease (NAFLD), has been recently described after LF in subjects with and without type 2 diabetes . The study also found that the more often a person fasted, the more weight they lost. On the other hand, a diet is a sustainable approach to weight loss. "Studies of those fasting during Ramadan have shown that during fasting, severe hypoglycemia can occur. Intermittent fasting may not be suitable for the elderly, as low blood glucose levels can increase the risk of falls.” There has been some evidence that men can benefit from intermittent fasting, while women may be negatively affected.” Mor agrees that women may need to be more careful with intermittent fasting than men. The Portfolio diet is a vegan plan that emphasizes a “portfolio” of foods or food components that lower cholesterol.85 When these foods are eaten together as part of a healthy diet, they presumably lower LDL-C better than any one of the portfolio foods could alone. The Dietary Approaches to Stop Hypertension (DASH) diet was originally developed to lower blood pressure without medication, but it is now considered one of the healthiest eating patterns.80 The DASH plan includes many vegetables, fruits, and grains with an emphasis on whole grains. A systemic review showed that adherence to the Nordic diet significantly improved body weight.71 However, these types of food may be not easily accessible or affordable for everyone and may make the diet difficult to maintain. A review regarding the Paleo diet and its impact on cardiovascular risk factors suggested that it has favorable effects on lipid profile, blood pressure, and circulating C-reactive protein concentrations, but the evidence is not yet conclusive.66 The Paleo diet emphasizes vegetables and unprocessed foods, but it is also high in saturated fats, which might increase the risk of cardiovascular disease. Finding yourself confused by the seemingly endless promotion of weight-loss strategies and diet plans? “My perspective as both a nutritionist and former strength and conditioning coach is that the research hints at doing the same things as you would on a standard calorie-restricted diet,” says Price. “It’s hard to say what the longer-term effects are because most studies on the topic are, at most, 6-12 months long. Adiponectin exhibits both anti-atherosclerotic and anti-inflammatory effects via inhibition of adhesion of monocytes to endothelial cells. The concentration of adiponectin decreases during multiple pathological processes, including atherosclerosis, insulin resistance, T2DM, and coronary disease. Altogether, these physiologic changes may help reduce serum levels of VLDL, LDL-C, and small dense LDL-C (sdLDL) . Additionally, there is elevated fatty acid oxidation and decreased hepatic triglycerides and very low-density lipoprotein (VLDL) production. There is emerging evidence suggesting that intermittent fasting may not yield the same benefits for women as it does for men. In such cases, intermittent fasting can potentially be harmful to your health. Numerous research endeavors, encompassing studies on both animals and humans, have delved into the practice of intermittent fasting. It’s important to note, though, that the effectiveness of intermittent fasting comes down to calorie control. Moreover, this way of eating affects your hormones in a manner that promotes weight loss. More high-quality studies including randomized controlled trials with follow-up of greater than one year are needed to show a direct effect and the possible benefits of intermittent fasting. A systematic review of 40 studies found that intermittent fasting was effective for weight loss, with a typical loss of 7-11 pounds over 10 weeks. Intermittent fasting attempts to address this problem by cycling between a low calorie level for a brief time followed by normal eating, which may prevent these adaptations. "Any benefit you may gain from fasting won't last if you aren't eating healthy foods, controlling portions, and reducing your intake of snacks and processed foods." If he is right, intermittent fasting may be both a smart and smartening way to live. Volatility in our ancient ancestors' food supplies most likely brought on frequent fasting—not to mention malnutrition and starvation. And some weight-loss experts are skeptical about fasting, citing its hunger pangs and the possible dangers of compensatory gorging. Moreover, in a 2010 study co-authored by Mattson, periodically fasting rats mysteriously developed stiff heart tissue, which in turn impeded the organ's ability to pump blood. While this hypothesis has not been tested in humans, support from animal research is striking and data from human time-restricted feeding studies are suggestive. In addition, research is needed to test whether these regimens can complement or replace energy restriction and if so, whether they support long-term weight management. Studies suggest that changes in composition and metabolic function of the gut microbiota in obese individuals may enable an “obese microbiota” to harvest more energy from the diet than a “lean microbiota” and thereby influence net energy absorption, expenditure, and storage.52–54 In addition, obesity-related changes in gut microbiota can alter gut permeability and bacterial translocation to promote systemic inflammation55, a hallmark of obesity and obesity-related diseases. Intermittent fasting may directly influence the gut microbiota, which is the complex, diverse, and vast microbial community that resides in the intestinal tract. The human circadian rhythm regulates eating, sleeping, hormones, physiologic processes, and coordinates metabolism and energetics
  • Most people can safely and successfully incorporate fasting into their daily lives with few, if any, side effects.
  • After an 8-week alternate-day fasting regimen, the fasting glucose of adults with obesity decreased significantly, and the insulin levels in the participants decreased although not significantly .
  • All have varying time frames for the ‘fast’ and ‘feast’ window, however, all work off the same concept that eating should be restricted to a number of hours a week.
  • After meals, glucose is utilized for energy and fat is stored as triglycerides in adipose tissue.
  • “In other words, it doesn't prescribe specific foods to eat or avoid but rather focuses on when you should eat, period.” So maybe you eat between noon and 8 p.m.
  • In 1963, Randle proposed a theory of energy metabolism during feeding and fasting known as the “glucose-fatty acid cycle” whereby glucose and FA compete for oxidation .
  • Intermittent fasting suits some individuals but may not resonate with others.
  • You don’t have to starve yourself — just eat less often and more mindfully.
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Intermittent fasting regimens that limit food consumption to daytime may leverage circadian biology to improve metabolic health. A 2013 meta-analysis of 30 cohort studies including healthy young men and women examined whether Ramadan fasting altered biomarkers in addition to weight.27 The primary finding of this meta-analysis was that after Ramadan fasting, low-density lipoprotein and fasting blood glucose levels were decreased in both sex groups and also in the entire group compared to levels prior to Ramadan.27 In females only, HDL cholesterol levels were significantly increased. Islamic fasting during Ramadan does not require energy restriction; however, as intake of food and fluid becomes less frequent, changes in body weight may occur. Even if being on an intermittent fasting diet results in weight loss, it might not be sustainable due to its restrictive nature, which can be difficult to maintain in the long-term. Losing weight requires a reduction of calorie intake, so it stands to reason that intermittent fasting may result in weight loss. Additionally, for some, it can also be a way to lose weight rather than daily dieting, as mentally it can be easier to be strict on what you eat for a set number of days rather than all the time. Prior research has demonstrated nuclear expression of peroxisome proliferator-activated receptor-α and peroxisome proliferator-activated receptor γ coactivator 1 α in the liver lead to increased fatty acid oxidation and Apo A production, while simultaneously decreasing ApoB synthesis. This study was conducted over 52 weeks and included 137 individuals with obesity and T2D, at an average age of 61 years and mean baseline HbA1c of 7.3%. Participants had a 3-h OGTT with baseline measurments in the morning and post-intervention for each study arm. Primary endpoints were glucose tolerance, postprandial insulin, and insulin sensitivity assessed using a 3-h oral glucose tolerance test (OGTT). But as with any health strategy, personalization and professional guidance are key. While breakfast can be beneficial for some, skipping it is not inherently harmful. Only prolonged, severe calorie restriction over weeks or months lowers metabolic rate. While human studies are still ongoing, the evidence suggests IF could help delay the onset of aging-related conditions. Some human studies link IF with improved memory, focus, and mood.

Q: Are there any risks from intermittent fasting?

Fast-forward to today, though, and most people reading this will never be far from a quick snack. Why restricting the hours you're allowed to eat could actually supercharge fat loss You have tremendous latitude in what goes into your daily diet—and the choices you make can have profound consequences for your health. Hence, naturally, whenever there is a disarray between circadian timing and daily food intake pattern, this can lead to a disruption in the circadian rhythm, which can then negatively impact the metabolic system. During a 24-h time period, the circadian rhythm is the driving force behind coordinating a balance between the anabolic and catabolic activities. However, over the past several decades, obesity intervention trials have revealed that the vast majority of individuals experience difficulties sustaining daily CR for extended periods of time . Intermittent fasting is not a quick weight-loss solution, so don't expect to immediately see or feel changes. "Follow this for a few days to get used to the schedule, and then extend the time to 14/10," says Dr. Hu. "Low blood sugar levels from not eating for so long could cause problems," says Dr. Hu. Check with your doctor before trying intermittent fasting, especially if you have diabetes, take blood pressure medication, or tend to get dizzy if you stand up too quickly. Still, the existing evidence of intermediate fasting's benefits is limited, and any long-term benefits or drawbacks are unknown. Time-restricted eating is one common approach. Thank you for your interest in spreading the word about Intermittent fasting on Dietitians Australia. So, scientists still do not know how long people must fast to see a significant uptick in autophagy. In times of stress and when nutrients are scarce, autophagy is ramped up to provide an alternative source of energy from recycled cellular material. This allows the body to regenerate newer, healthier cells.
  • Others will scrunch all three meals into the smaller eating window.
  • The individual studies included a combination of interventional and observational studies.
  • A registered nurse is available 24 hours a day, 7 days a week.
  • Individual results will vary, and the best schedule depends on your health, activity level, and goals.
  • However, this feeding pattern is in biologic opposition to human circadian rhythms (see below) and therefore unlikely to be pursued as a desirable weight loss intervention.
  • So things like heavy work, weight lifting, or basically any kind of sports.
  • “This method of fasting isn’t recommended because it’s very restrictive, not sustainable for long-term use and has the potential to lead to nutrient deficiencies,” warns Zumpano.
Get started with a 60-minute session with a registered dietitian at no cost to you. But it’s important to know that research is ongoing, and we need more long-term studies to understand the full impact. Individual results will vary, and the best schedule depends on your health, activity level, and goals. Nutrition and healthy eating All have varying time frames for the ‘fast’ and ‘feast’ window. Eat Stop Eat - fasting for 24 hours once or twice a week. “If you’re the kind of person who’s going to eat fewer calories as a result, it might be worth giving it a go.” “If you restrict the window of time in which you eat, then you’re likely to consume less,” she says. In mice with cancer-gene mutations, there was more tumour development in those that fasted and then ate for a day than in mice that did not fast, Yilmaz and his colleagues reported in 2024. Try a 12-hour fast, which is the most natural pattern for people to fall into, says Bauer. Others will scrunch all three meals into the smaller eating window. Some clients tell Bauer that they simply don’t need to eat in the morning, so they’ll start their eating window with lunch, have a snack, and then eat dinner. “Fasting is not a replacement for healthy eating,” says Bauer. If you’re going to try time-restricted eating, you’re going to have to decide on your eating window. Then you may switch to time-restricted eating because it’s easier to stick with long term, she says. If it’s significant, it may make more sense to start with alternate-day fasting, though it’s more challenging, says Varady. Similarly, if you have a low (underweight) BMI or a history of an eating disorder, IF is not right for you. Black bars and dots represent data from the clamp before the fasting intervention; gray bars and dots are data from after the fasting intervention. Importantly, there have not been a sufficient number of long-term comparative studies to indicate whether one of these dietary protocols results in long-term efficacy. (C) When meals are compressed to a 6-h period each day, ketones are able to rise during the time between feeding periods. In Figure 1B, we see an example of a person who fasted completely on one day then had three separate meals on the subsequent day. The onset of metabolic switch is the point of negative energy balance at which liver glycogen stores are depleted and fatty acids are metabolized. By improving blood sugar control, intermittent fasting may help individuals manage their weight more effectively and lower their chances of developing chronic conditions related to metabolic dysfunction. Other methods include alternate-day fasting, where fasting is done every other day, and the Warrior Diet, which allows very minimal food during the day and a larger meal at night. Researchers and proponents say that certain fasting techniques may help you live longer and carry benefits ranging from improving insulin sensitivity to helping to repair cells. Every day, or eat super low-calorie a couple of days a week. In mammals, feeding behaviour is cyclic with periods of fasting separating feeding bouts, leading the organism to switch from nutrient storage during feeding periods to the use of stored nutrients during fasting . Relative to TRE, the study of mechanisms leading to changes in the molecular circadian clock genes, activated or deactivated according to light and diet, has opened new horizons . Similar to SIRT1, the mitochondrial deacetylase SIRT3 regulates metabolic homeostasis during fasting and CR . A specific liver knock down of SIRT1 results in a decreased fasting-dependent down-regulation of the lipogenic gene expression (SREBP-1c), suggesting this mechanism for the regulation by SIRT1 of multiple SREBP-1 target genes . In the fasting mode, cellular and metabolic processes are controlled by a complex network of transcriptional regulators.

Does intermittent fasting have any side effects?

You can improve your athletic performance over time by breaking up your workout regimen into focused cycles There are some best strategies to make sure you’re following a healthy plan for you. “The study didn’t prove causation,” Zumpano notes.
Other kinds of intermittent fasting
Then, the liver converts fatty acids into ketone bodies, which provide the main energy source for many tissues, especially the brain . After a meal, glucose is used as energy, and fat is stored in adipose tissue in the form of triglycerides. In rodents, fasting increases the expression of neuropeptide Y genes in specific brain regions . For most people, it does get easier. More research is needed on the long-term benefits. Or it could be a combo of the above and other effects. This is called ketosis, and it’s also the goal of the popular keto diet. Fasting has been around for millennia, and it’s an important part of many religions and cultures — for spiritual and health reasons. A 2020 study found that participants following an intermittent fasting plan lost an average of 3–8% of their body weight over 8 weeks. The most popular form, intermittent fasting (IF), involves specific time windows for eating and fasting. Let’s dive into how intermittent fasting for weight loss can transform your health and help you achieve your goals. Intermittent fasting (IF) is more than just a weight loss strategy; it offers a variety of physiological benefits that contribute to overall health. Your body may go into ketosis after just 12 hours of not eating, which many people do overnight before they "break fast" with a morning meal. "People who try whole or alternate-day fasting quickly realize how many calories are in certain foods. That helps them choose foods that are more filling but lower in calories," says Dr. Rimm. Many studies show that nighttime eating is closely linked to weight gain and diabetes, and one even found a higher risk of heart attack among men who snacked in the middle of the night compared with those who didn't. Still, people who are overweight or obese might want to give intermittent fasting a try. Instead, you choose two or more days during the week when you cut way back on the food you eat, limiting yourself to just 400 to 600 calories per day. More importantly, I did it without obsessing over every calorie. You don’t have to starve yourself — just eat less often and more mindfully. Fasting for fat loss has been around for thousands of years. You can also combine it with other diets, like Keto,” Varady said. Start small, stay consistent, and watch how intermittent fasting weight loss changes not just your body, but your entire outlook on health. These perks show that fasting isn’t just about weight loss through fasting; it’s about creating a healthier, more balanced version of yourself. Fasting weight loss refers to the practice of cycling between periods of eating and abstaining from food to promote fat loss and improve overall health. Many studies (2,3) suggest that intermittent fasting can help with weight loss, improve metabolic health, and even boost brain function. "We know that the body is unable to rid itself of toxins when we eat a diet low in nutrients," and that applies to most Americans, even those who think they are healthy, he says. In addition, other practices that are often combined with fasting for weight loss, such as colon cleansing, carry their own risks. Even some proponents of fasting for other medical purposes do not support fasting for weight loss.
Brain Health and Cognitive Function
This would enable practitioners to better recommend dietary changes. Research is not robust enough to suggest that healthcare professionals should be recommending IF to patients as standard practice. For example, while LDL cholesterol levels at month 12 were significantly in the ADF group, it is unlikely that an 11 mg/dl difference would have implications on provider recommendations. Despite understanding these cellular mechanisms, it is unclear whether IF has beneficial effects on oxidative stress and inflammation in human. The effects of IF on inflammation have been minimally studied in humans. With alternate-day fasting, you eat a calorie-restricted diet every other day. Short-term studies suggest that people stick to intermittent fasting diets as well as or better than they do to other diets. But the rapid, unequivocal weight loss during fasting demonstrates to them that with a large enough change in eating habits, it’s not just possible, but inevitable. Eating foods that are high in fiber can help to limit feelings of hunger, as fiber serves as bulk that takes time to pass through your digestive system. “When the symptoms of hunger set in during the fasting periods, sipping water, herbal teas and other non-caloric drinks can help fill up the tummy, reduce hunger and generally make life more comfortable.” “This approach has been shown to facilitate significant and progressive weight loss.” The overall objective of this paper is to provide an overview of intermittent fasting regimens (Table 1) and summarize the evidence on the health benefits of intermittent fasting with a focus on human intervention studies. However, scientific evidence for the health benefits of intermittent fasting in humans is often extrapolated from animal studies, based on observational data on religious fasting (particularly Ramadan), or derived from experimental studies with modest sample sizes. Are there any side effects of intermittent fasting for weight loss? The timeline for weight loss results with intermittent fasting varies from person to person. Intermittent fasting's effect on insulin levels is one of the primary reasons it helps people lose weight. Remember, it's best to consult a qualified medical professional or registered dietitian if you are considering making significant changes to your diet. Your gift powers excellence in research and education to advance public health. Large-scale, long-term clinical trials in humans are needed to confirm many of its potential benefits. The researchers also noted that IF reduced the presence of triglycerides, which are fats found in the blood that can lead to stroke, heart attack, or heart disease, according to the Mayo Clinic. But so far the research shows that these blood pressure benefits last only while someone is doing IF. The link between lower systolic blood pressure and IF appears in both animal and human studies, according to a review published in March 2019 in Nutrients. When the diet is done properly, IF can be as effective as normal caloric restriction, Lowden says. So rather than take popular claims about IF at face value, we decided to dive into them and explore whether 12 touted benefits of the approach are legit or the science doesn’t yet stack up. The study represents the largest systematic review on intermittent fasting, analyzing 99 clinical trials across more than 6,500 participants. Of all forms of intermittent fasting, alternate day fasting—in which a person fasts for a full day, every other day—was most effective. Despite its benefits, intermittent fasting is not for everyone. While fasting improves metabolic flexibility, it does not erase the negative effects of processed, nutrient-poor diets. In fact, many people practice the 16/8 method by simply delaying their first meal until midday—with no adverse effects on energy or metabolism.
Therapeutic fasting: clinical impact in contemporary medicine
The truth is that intermittent fasting may work wonders for your weight loss goals or not do anything at all. To achieve the best results, pair intermittent fasting with adequate exercise and healthy food choices.” “A recent review of 27 clinical trials on intermittent fasting found that individuals lost between 0.8 and 13 percent of their body weight with intermittent fasting,” says Dr. Adeyemo. The amount of weight you will lose while intermittent fasting largely depends on several factors, including your average calorie intake, age, sex, activity level, and, of course, your genetics. Who should be careful or avoid intermittent fasting? These findings show that weight reductions were significantly higher in men, compared with women, with various durations of fasting (5 d, 10 d, 15 d, and 20 d).23 Interestingly, outpatient interventions18–21 produced reductions in weight similar to inpatient programs.16,17,22,23 Thus, it is possible that the weight-loss benefits of prolonged fasting can be attained under free-living conditions. Longer fasting durations generally produced more pronounced weight loss than shorter fasts, but findings were variable. Although several favorable effects of prolonged fasting have been observed, these benefits must be weighed against the risks. The Buchinger fasting program involves consuming 250 mL of fruit or vegetable juice as a lunch and 250 mL of vegetable soup as a dinner, leading to an average total calorie intake of 200–300 kcal and 25–35 g of carbohydrates per day. Water-only fasting generally involves consuming 2–3 L of mineral water or distilled water per day, with no food intake. Fasting is a great way to reduce those not-so-healthy foods and focus on nutrient-dense foods first and foremost.” They can offer the right guidance on whether any of these intermittent fasting options are right for you. Research shows there could be some benefit to intermittent fasting. “Consistently not meeting your caloric needs can inhibit weight loss by decreasing your metabolism and causing your body to go into ‘starvation mode.’” (There are also strict variations to this approach that include consuming 0 calories on alternate days instead of 500.) But for people who aren’t hungry in the morning, it’s fine to skip breakfast and have your eating window later in the day. It’s not clear how intermittent fasting works for weight loss. Hence, it is necessary to conduct larger and longer-term studies to determine whether intermittent fasting or other modified fasting regimens can be a viable option for diet and lifestyle. Additionally, the studies have been conducted in diverse populations with mixed results. Given the positive outcomes thus far, IF may prove to be a promising approach to improving health once it is determined which individuals will best benefit and be able to sustain it. There are several trials currently underway that aim to determine the effects of IF on numerous outcomes such as cancer, Alzheimer’s, diabetes, and longevity . To fast is to trust the body’s ancient wisdom, to allow it to reset, repair, and thrive. It is a reminder that sometimes, less truly is more—that in the silence between meals, the body finds its deepest healing power. Intermittent fasting is not a miracle cure, nor is it a passing fad. These may provide a gentler on-ramp for those who find strict fasting difficult.
  • You see, according to research, all you need is around 0.6 grams of protein per pound (or 1.3 grams of protein per kilogram) of your "ideal body weight".
  • It’s not magic, but it can make a real difference when paired with nutritious food and movement.
  • For individuals with underlying medical conditions, it is crucial to seek guidance from a healthcare professional before embarking on an intermittent fasting regimen.
  • Although weight and fat mass decreased in most studies, it is crucial to consider protocol adherence and exit rates.
  • Furthermore, evidence regarding biomarkers of aging and cognition is mixed, and the conclusions of these studies cannot yet be generalized to the larger population.
  • “Fasting periods can serve as a trigger for disordered eating,” says Adeyemo.
Alternate day fasting was also linked to lower levels of total and "bad" cholesterol compared with time restricted eating. All intermittent fasting strategies and continuous energy restriction diets may lead to small reductions in body weight when compared with an unrestricted diet. To address this, researchers analysed the results of 99 randomised clinical trials involving 6,582 adults (average age 45; 66% female) to compare the effect of intermittent fasting diets with continuous energy restriction or unrestricted diets on body weight and cardiometabolic risk factors. Alternate day fasting also demonstrates greater benefits compared with both calorie restriction and other intermittent fasting approaches, but the researchers say longer trials are needed to substantiate these findings. Later in the same interview with GQ, Jesse joked that his secret to losing weight was simple, saying, "Well, I was eating everything, and then I just stopped eating terrible food." “For many people trying to lose weight, counting time is easier than counting calories.” People in the fasting group reported that their diet was easier to adhere to than calorie restriction. Firstly, the sample sizes of some of the included studies were small, leading to heterogeneity. These findings suggest that IF has substantial clinical significance, and it is a dietary intervention method that deserves in-depth research. A rat study found that IF improved glycemic control and protected the myocardium from ischemia-induced cell damage and inflammation more than daily CR . A strict IF of 4 to 24 weeks reduced subject body mass by 4–10% . This finding suggests that IF requires further study and in-depth exploration. Overall, no substantial conclusions can be drawn as a result of the inconclusive evidence on the outcomes of IF diets on lipid profiles. Finally, of the 14 reviews observing HDL levels, 11 showed no effect on these during IF. It is important to highlight that most studies were undertaken in populations without T2D and therefore significant changes in these indices may not be expected. Ketogenic diet is characterized by an extreme reduction in carbohydrate intake (41 Ketogenic diets may decrease appetite and increase lipolysis, which may result in greater metabolic efficiency for fat consumption and can provide the same thermic effects as proteins.41 There are several types of carbohydrate-restricted diets, some of which limit carbohydrates to certain levels without restricting dietary protein and fat (such as the Atkins diet), whereas others allow moderate carbohydrate intake as well as moderate protein and fat intake.37 Low-carbohydrate (low-carb) diets have been widely used not only for weight reduction, but also to manage T2DM; many randomized controlled trials have been conducted.32,33 A low-carb diet is defined as a carbohydrate intake below the lower boundary of the macronutrient distribution range for healthy adults (45%–65% of total daily energy)34 and encompasses a range of carbohydrate intake from 50–130 g/day or 10%–45% total energy from carbohydrates.35,36 With carbohydrate intake 37 This differs from results of a larger randomized controlled trial (RCT), which found that Si and fasting insulin improved more in the ICR group, compared to the CER group, despite similar effects on weight and other biomarkers . Soeters et al. sought to replicate these results in a crossover study of 8 healthy men who followed a standard diet or ADF with 20 hours of fasting for 2 weeks . Some studies have found that the ADF group ate more than prescribed on fasting days and less than prescribed on feast days . By incorporating these tips, beginners can make intermittent fasting a lasting part of their lifestyle and enjoy its many benefits. Intermittent fasting is a way of eating where you cycle between periods of eating and fasting. This guide on intermittent fasting for beginners will show you how to start and why it might be the right choice for your health journey. It involves cycling between eating and fasting periods. Thus, whether prolonged fasting results in more severe adverse health effects is still unclear. This flexibility makes it more sustainable for long-term weight management (4). This approach allows for more flexibility but still promotes a calorie deficit. Fasting also boosts your metabolism by increasing the production of norepinephrine, a hormone that supports fat breakdown (2). But there’s more to it than just cutting calories.
  • Intermittent fasting regimens that limit food consumption to daytime may leverage circadian biology to improve metabolic health.
  • (But if you want to see just how much extra weight we're talking about, you can take a look at my personal experiment with sodium and weight loss.)
  • With the growing problem of obesity in the world, diet changes are an important modifiable factor.
  • These hormonal shifts could boost your metabolism by 3.6–14%, making your body more efficient at burning calories.
  • However, it is not clear if fasted exercise leads to greater weight or fat mass loss.
  • However, research does not consistently show that intermittent fasting is superior to continuous low calorie diets for weight loss efficiency.
  • Nevertheless, it seems clear that in a 24/7 world of around-the-clock eating opportunities, all of us could benefit from aligning with our circadian biology, and spend a bit less time in a fed state and more time in a fasted state each day.
However, that may not mean people can eat whatever they want during the eating window. In this guide, you’ll learn all you need to know to get started with a successful intermittent fasting routine. Always consult your doctor first and carefully weigh the risks and benefits before changing your current eating plan. Data were collected using a pre‐defined framework and included the surname of first authors, publication year, study design, sample size, analysis, population, intervention/exposure and outcomes. We conducted a rapid overview (an umbrella review) of systematic reviews published in the medical literature on the impact of IF on metabolic effects. Hence, our aim was to synthesise the available evidence on the metabolic effects of IF from the findings of published, systematic reviews. The prevalence of obesity is rising globally and effective strategies to treat obesity are needed. “When you eat constantly, you’re constantly dumping insulin into your blood, which cues the body to store fat,” says gut-health expert Dr Daryl Gioffre. With food scarce and storage difficult, going for hours, or even days, without eating was a common occurrence. Clean eating and intermittent fasting. Should you try intermittent fasting to help with weight loss? Not eating for such a long period can place the body in short-term ketosis, where the body burns fat for energy, according to Dr. Hu. Of course, the single most successful diet for weight loss—namely no diet at all—is also the single least sustainable. Prior research suggests that in animals, intermittent fasting can fend off or even reverse such illnesses as cancer, diabetes, heart disease and neurodegenerative disorders. This isn’t just about losing weight — it’s about creating your Freedom Lifestyle. Mattson thinks that intermittent fasting acts in part as a form of mild stress that continually revs up cellular defenses against molecular damage. More recently, however, Mattson and other researchers have championed the idea that intermittent fasting probably lowers the risks of degenerative brain diseases in later life. Even if calorie restriction does not help anyone live longer, a large portion of the data supports the idea that limiting food intake reduces the risks of diseases common in old age and lengthens the period of life spent in good health. Chances are, you’ve already engaged in intermittent fasting without even realizing it. However, it’s worth noting that prolonged fasts lasting three or more days may suppress metabolism. If you ensure that the rest of your daily food intake is balanced and nutritious, skipping breakfast can be a healthy choice. There are several different versions of this plan, with some of them allowing about 500 calories on the fasting days, and some encouraging that you eat even fewer or close to zero calories on fasting days. On this diet, women are supposed to have about 500 calories on fasting days, while men have about 600. However, given that the fasting period is short and essentially follows the way people already eat, it may be hard for some to achieve a calorie deficit with this diet. IF consists of designated "eating windows”—when you can eat freely—and longer fasting periods where only water, coffee, and tea are allowed. But, is this popular method actually an effective and healthy way to lose weight? Many fasters report feeling more energized and mentally clear during fasting periods, which can improve productivity and mood. Choosing the right method depends on your schedule, hunger tolerance, and weight loss goals. It also enhances cellular repair processes like autophagy, where your body cleans out damaged cells, potentially improving overall metabolic health. Overall, HbA1c was reduced by approximately 0.2–0.5% with prolonged fasting (in participants without diabetes).17,23 This finding is somewhat surprising as HbA1c is generally only ameliorated after 3 months of intervention.43,44 The reason why prolonged fasting produced these improvements within such a short period of time remains unclear. The lack of change in fasting glucose levels in patients with diabetes is somewhat surprising. However, these equivocal findings highlight the need for more studies to examine how water fasting impacts lipid metabolism. A rise of brain-derived neurotrophic factor (BDNF) in the central nervous system (CNS) can enhance brain health . It is worth mentioning that nutrient restricted normocaloric diets like the ketogenic diet (carbohydrate restriction) and the protein or amino acid (methionine) restricted diet are being also intensively evaluated. Calorie restriction (CR) refers to a daily reduction by 15–40% of calorie intake without malnutrition. Although researchers remain intrigued by the physiology of fasting, would-be dieters probably care more about whether intermittent fasting works than why it does so. “Most people’s blood-sugar control is best in the mid- to late morning, so eating early, in alignment with these circadian rhythms, results in lower overall blood-sugar levels,” she says. Mattson and others have looked to animal research in their efforts to understand the physiology of fasting, and to identify mechanisms that could underpin any extra health benefits. In a 2018 study, Peterson and her team carefully monitored the diets of prediabetic, overweight men, matching their diets to energy consumption. It structures eating into specific windows of time, alternating between periods of fasting and feeding. Today, in a world overflowing with snacks, fast food, and processed meals, the idea of deliberately not eating for certain hours feels revolutionary. If you follow these tips, there’s a good chance that intermittent fasting can help you lose weight in a healthy way. Intermittent fasting can play a role in your healthy weight loss lifestyle. Trepanowski et al., 2017 , compared the effects of alternate-day fasting vs. daily calorie restriction on weight loss, weight maintenance, and risk indicators for cardiovascular disease. Here, we will review the current literature on various effects of intermittent fasting on weight loss, insulin resistance, cardiovascular parameters, and oxidative stress/inflammation. While more research is needed on longer-term outcomes and this approach should be avoided in particular health conditions, intermittent fasting should be considered as an option for individuals who have a pattern of unhealthy weight gain using standard eating patterns. Effectiveness of intermittent fasting and time-restricted feeding compared to continuous energy restriction for weight loss. Short-term fasting, which we define as fasting between 24 and 36 hours It is not a diet, per se, since it doesn’t specify what to eat; it only specifies when to eat. For some, fasting may sound scary and uncomfortable, but it doesn’t have to be. Some individuals should avoid fasting or only fast under direct physician supervision. However, any significant changes in your diet should always be discussed with your healthcare provider to ensure that the changes match with your health needs and goals.”
Popular Intermittent Fasting Schedules
The liver then converts fatty acids to ketone bodies, which during fasting become a major source of energy for many tissues especially brain. During prolonged periods of fasting, triglycerides from adipose tissue are converted to fatty acids and glycerol, which are subsequently metabolized for energy. Randle and colleagues in 1963 proposed a theory of energy metabolism during feeding and fasting, known as the “glucose–fatty acid cycle”, in which glucose and fatty acids compete for oxidation . When talking about intermittent fasting and its effect on health, it is important to understand the basic physiology of glucose and lipid metabolism and the concept of “metabolic switching” that occurs during the fasting state. Most of these studies reiterated the similar beneficial aspects of intermittent fasting on various aspects of human metabolism as were demonstrated in the animal studies. Subgroup analysis was performed according to the intermittent fasting regimen, age, and area. The BF% is widely applied to evaluate the proportion of body fat, WC is widely used to evaluate valence abdominal obesity, and BW is mainly used to evaluate abdominal obesity and health risk. Nevertheless, IF versus CCR on weight loss in overweight and obese people remains controversial. She recommends setting reminders throughout the day and particularly during fasting periods to lap up plenty of liquids. There are many different kinds of fasting or IF schedules to choose from, so you can decide the diet that best fits your lifestyle. —of these 12 tips for acing a fasting diet, straight from nutritionists. “Repeated exposure to fasting periods results in lasting adaptive responses that confer resistance to subsequent challenges,” the authors explain. This plant-based eating plan focuses on lowering cholesterol, making it a great companion to the Mediterranean diet

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Intermittent fasting (IF) remains a buzzy concept in the wellness world. Want more evidence of IF's possible weight-loss effects? “In other words, it doesn't prescribe specific foods to eat or avoid but rather focuses on when you should eat, period.” So maybe you eat between noon and 8 p.m. The 60 participants spent 123 days in the infirmary, and six died. Intermittent fasting is therefore presented as a safe and promising strategy for managing body weight and improving cardiovascular health in people who are overweight or obese. The study also assessed fasting and 24-hour glucose levels using a continuous glucose monitor worn by participants for 14 days before and at the end of the intervention. The results of the study, published in the journal Nature Medicine, reveal that intermittent fasting showed no additional benefits over a nutrition education programme in reducing visceral fat. Manuel Dote-Montero, together with Antonio Clavero Jimeno, a predoctoral researcher at the UGR, and Elisa Merchán Ramírez, a postdoctoral researcher at the UGR, led this study in Granada, and indicate that it is unclear whether the timing of the intake window -- early, late or self-selected -- may have a different effect on weight loss, visceral fat (i.e. fat surrounding organs in the abdominal area) or overall cardiovascular health in people who are overweight or obese. In addition, fasting without proper protein replacement is a well-known cause of muscle wasting and should be avoided . Some noteworthy limitations of these studies include small sample sized studies with not enough randomized study designs, meta-analyses, or systemic reviews available currently. Thus, although five weeks of eTRF did not improve glucose levels, it dramatically lowered insulin levels and improved insulin sensitivity and β cell responsiveness . This study also investigated the impact of eTRF on OGTT-derived indices of β cell responsiveness and insulin resistance. These overall demonstrate improvements in insulin sensitivity and reductions in dyslipidemia, although not all of the studies reported all of these findings. Weight loss of 5–10% can improve several metabolic measures, including blood pressure, plasma lipids, and fasting insulin.24 Changes in body weight during 5 to 20 days of prolonged fasting are shown in Table 1. Accordingly, the goal of this narrative review is to summarize the effects of prolonged fasting on various metabolic health measures, including body weight, blood pressure, plasma lipids, fatty liver index, and glycemic control. Ketone levels generally reach a plateau after 5 to 10 days of prolonged fasting and serve as the primary energy source for the body for up to 90 days. Intermittent fasting is an eating pattern that includes hours or days of no or minimal food consumption without deprivation of essential nutrients. Doing intermittent fasting by eating earlier in the day is better for blood sugar and blood pressure, so most of our studies have eating windows that end by about 6 p.m. We don’t recommend intermittent fasting during pregnancy or for children, and most studies on intermittent fasting exclude people with histories of disordered eating, just to be on the safe side.One misconception is that intermittent fasting will make you lose too much muscle mass. Three phases have been described in the course of LF in animals, such as the Emperor penguin, that undergo yearly, during 35 years (average life span) fasting periods lasting several weeks until exhaustion of energy reserves . Whereas at the beginning of fasting 35 g of nitrogen were excreted per day, these values tended to fall to 2–4 g/day (12–25 g protein/d) after 4 weeks . The human capacity to live without energy intake for periods of almost 40 days has been often reported in non-obese subjects during hunger strikes . Evidently, it will depend on the duration of fasting, the individual profile including age, nutritional and health status, as well as personal inclination for the procedure .